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End-of-life communication: ethnic differences between Korean American and non-Hispanic White older adults

TitleEnd-of-life communication: ethnic differences between Korean American and non-Hispanic White older adults
Publication TypeJournal Article
Year of Publication2009
AuthorsKo, E, Lee, J
JournalJ Aging HealthJ Aging Health
Volume21
Pagination967-84
Date PublishedOct
ISBN Number0898-2643 (Print)<br/>0898-2643 (Linking)
Accession Number19773596
KeywordsAdvance Care Planning, Advance Directives/ ethnology, Aged, Aged, 80 and Over, Asian Americans, Communication, Culture, Demography, European Continental Ancestry Group, Female, Health Knowledge, Attitudes, Practice, Health Status, Humans, Korea/ethnology, Male, Socioeconomic Factors, United States
AbstractOBJECTIVE: This study examined ethnic differences in end-of-life communication between Korean American and non-Hispanic White older adults using the Health Belief Model as a conceptual framework. METHOD: A cross-sectional design was employed to survey 217 community-dwelling older adults (112 Korean Americans and 105 Non-Hispanic Whites). RESULTS: Half of the participants had never held end-of-life discussions with significant others. Non-Hispanic Whites were more likely to engage in end-of-life communication than Korean Americans, but the ethnicity effect was not evident in a multivariate analysis. Only participants' knowledge, perceived barriers, perceived severity, and experience of illness significantly predicted the likelihood of the end-of-life communication. Higher knowledge, stronger beliefs about the perceived severity and barriers, and greater experience of illness were related to having end-of-life communication. DISCUSSION: Knowledge and health beliefs play an important role in end-of-life communication which differs by ethnicity. Culturally competent health care practitioners need to consider ethnic variation in advance care planning.
Ethno Med: